Tyler M Thress, MD | |
12651 Whitehall Dr, Fort Myers, FL 33907-3626 | |
(239) 424-2030 | |
(239) 343-4117 |
Full Name | Tyler M Thress |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 11 Years |
Location | 12651 Whitehall Dr, Fort Myers, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952745788 | NPI | - | NPPES |
113490200 | Medicaid | FL | |
036147345 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 29934 (Oklahoma) | Secondary |
208800000X | Urology | 036.147345 (Illinois) | Secondary |
208800000X | Urology | ME154296 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Albert Einstein Medical Center | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Einstein Practice Plan Inc | 2769395896 | 603 |
Entity Name | Einstein Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
Mailing Address | Practice Location Address |
---|---|
Tyler M Thress, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-2030 | Tyler M Thress, MD 12651 Whitehall Dr, Fort Myers, FL 33907-3626 Ph: (239) 424-2030 |
Dr. Kyle Matthew Waisanen, MD Urology Medicare: Medicare Enrolled Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932 | |
Barry F Blitz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774 | |
Dr. Joseph Clair Klink, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932 | |
Scott Raymond Caesar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905 Phone: 239-458-1196 Fax: 239-458-1345 | |
Brett Michael Giblin, Urology Medicare: Medicare Enrolled Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117 | |
Dr. David S Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-533-5177 Fax: 239-322-5610 | |
Bert F Van Beever, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774 |